Therapeutic action of the evolocumab monoclonal antibody against PCSK9 proteins in LDL cholesterol modulation: systematic review

Authors

  • Mario Henrique Quim Ferreira Universidade Oeste Paulista – Presidente Prudente (SP), Brasil
  • Rodrigo Metzker Pereira Ribeiro Universidade Oeste Paulista – Presidente Prudente (SP), Brasiloeste)
  • Ana Beatriz Antunes Funes Universidade Oeste Paulista – Presidente Prudente (SP), Brasil
  • Bruna Mohine Oliveira Faustino Universidade Oeste Paulista – Presidente Prudente (SP), Brasil
  • Fernanda Cardin Segato Universidade Oeste Paulista – Presidente Prudente (SP), Brasil
  • Luana Lozano Cardoso de Mattos Universidade Oeste Paulista – Presidente Prudente (SP), Brasil
  • Thais Caroline dos Santos Carvalho Universidade Oeste Paulista – Presidente Prudente (SP), Brasil
  • Carlos Funes Prada Filho Instituto Dante Pazzanese de Cardiologia – São Paulo (SP), Brasil

DOI:

https://doi.org/10.13037/ras.vol15n52.4439

Keywords:

Hyperlipoproteinemia type II, LDL lipoproteins, Myocardial infarction, PCSK9

Abstract

Introduction: The hypercholesterolemia can lead to conditions such as acute myocardial infarction (AMI). However, cholesterol elevation is not always caused by poor diet habits and lifestyle; groups such as familial hypercholesterolemia (HF) have serum values increased by genetic alterations, and traditional dyslipidemic medications are not effective enough for these peoples. Objective: To compile and discuss the results obtained by the current literature that focuses on the evolocumab monoclonal antibody to decrease PCSK9 levels. Materials and methods: Systematic review of the results of tests done with humans over 19 years of age, published in the last 5 years in the English language, using the PubMed database. Results: 135 articles were found, and nine studies were selected by exclusion criteria. Discussion: Results demonstrated that the pharmacological power of the evolocumab antibody has a remarkable value compared to the usual therapies and placebo for patients who did not show great response to current therapies. Conclusion: This is a very recent study, which requires further research to show possible adverse reactions and interactions with other drugs. However, so far it has demonstrated a great advantage for future treatments because it occupies a place not previously filled by traditional pharmacology.

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Author Biographies

Mario Henrique Quim Ferreira, Universidade Oeste Paulista – Presidente Prudente (SP), Brasil

Acadêmico Medicina (Unoste)

Acadêmico Engenharia Civil (Uniderp)

Rodrigo Metzker Pereira Ribeiro, Universidade Oeste Paulista – Presidente Prudente (SP), Brasiloeste)

Biomédico graduado pela Universitário Hermínio Ometto de Araras (Uniararas), Graduando do curso de Psicologia (Unoeste), Mestre em Ciências pela Universidade de São Paulo (USP), Professor da Universidade do Oeste Paulista (Unoeste)

Ana Beatriz Antunes Funes, Universidade Oeste Paulista – Presidente Prudente (SP), Brasil

Graduada em Administração de Empresas (Toledo)

Acadêmica Medicina (Unoeste)

Bruna Mohine Oliveira Faustino, Universidade Oeste Paulista – Presidente Prudente (SP), Brasil

Acadêmica Medicina (Unoeste)

Fernanda Cardin Segato, Universidade Oeste Paulista – Presidente Prudente (SP), Brasil

Acadêmica Medicina (Unoeste)

Luana Lozano Cardoso de Mattos, Universidade Oeste Paulista – Presidente Prudente (SP), Brasil

Acadêmica Medicina (Unoeste)

Thais Caroline dos Santos Carvalho, Universidade Oeste Paulista – Presidente Prudente (SP), Brasil

Acadêmica Medicina (Unoeste)

Carlos Funes Prada Filho, Instituto Dante Pazzanese de Cardiologia – São Paulo (SP), Brasil

Graduado em Medicina (Unoeste)

Concluiu Residência em Clínica Médica (Hospital Regional Presidente Prudente)

Atualmente Residente em Cardiologia (Instituto Dante Pazanese)

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Published

2017-08-17

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ARTIGOS DE REVISÃO